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Wisconsin rates for HCPCS 65286

Repair of laceration; application of tissue glue, wounds of cornea and/or sclera

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,047.13 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $707.95 / $1,230.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,570.88 / $7,079.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $954.99 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,187.76 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,548.82 / $2,570.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,023.29 / $6,456.54
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,348.96 / $1,905.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,047.13 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,584.89 / $5,248.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $912.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,348.96 / $2,290.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $3,388.44 / $3,388.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $2,238.72 / $5,011.87
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $4,786.30 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $977.24 / $2,630.27